Nokea
A nurse is assessing how a family will transition and adapt after their youngest child leaves for college. By using this framework, which of the following perspectives is the nurse implementing?
- A. Risk-factor
- B. Structural-functional
- C. Open systems
- D. Developmental
Correct Answer: D
Rationale: This is the developmental perspective, where the nurse assesses the family’s ability to adapt during life cycle transitions, like a child leaving for college.
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Which scenario represents a dysfunctional pattern?
- A. Sexually active teenager who does not use condoms
- B. Salesman who sleeps only 5 hours a night
- C. Single mother of three children
- D. Woman with a small extended family
Correct Answer: A
Rationale: The sexually active teenager who does not use condoms has a sexual behavior that indicates a dysfunction in the sexuality-reproductive pattern, which places her at risk for sexually transmitted diseases and pregnancy.
The school nurse has been asked to order growth charts. Which of the following growth charts should be selected to assess children in first through fifth grades?
- A. Generic body mass index chart
- B. Height and weight chart
- C. Revised CDC growth chart
- D. WHO international growth chart
Correct Answer: C
Rationale: The CDC's 2000 growth charts are recommended for children aged 2 to 20 years, including BMI assessments.
A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?
- A. “This is a sign that he is not ready to toilet train yet.”
- B. “This behavior is developmentally normal.”
- C. “Tell him to stop touching himself.”
- D. “Don’t worry about it.”
Correct Answer: B
Rationale: Curiosity about genitals is a normal developmental phase during toilet training.
During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?
- A. The person is not receiving enough sleep.
- B. The person is receiving adequate sleep.
- C. The nurse must determine where the person sleeps.
- D. The nurse must ask additional questions.
Correct Answer: D
Rationale: The nurse needs further subjective data to assess whether 5 hours of sleep is adequate for this individual.
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
- A. The infant should be in a rear-facing car seat in the front seat.
- B. The infant should be in a rear-facing car seat in the back seat.
- C. The infant should be in a front-facing car seat in the front seat.
- D. The infant should be in a front-facing car seat in the back seat.
Correct Answer: B
Rationale: Rear-facing car seats in the back seat are recommended by the AAP for infants up to 2 years of age.